Comparison of effects of vessel-sealing devices and conventional hemorrhoidectomy on postoperative pain and quality of life

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dc.authorid0000-0002-6594-3777
dc.authorid0000-0002-3921-7675
dc.contributor.authorKendirci, Murat
dc.contributor.authorŞahiner, İbrahim Tayfun
dc.contributor.authorŞahiner, Yeliz
dc.contributor.authorGüney, Güven
dc.date.accessioned2019-05-13T09:02:40Z
dc.date.available2019-05-13T09:02:40Z
dc.date.issued2018
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractBackground: The aim of this study was to investigate the early and late results of use of LigaSure, Harmonic Scalpel, and conventional hemorrhoidectomy in hemorrhoidectomy, to determine the least painful method, and to investigate the relationship between pain perception and personal differences in hemorrhoid bundles. Material/Methods: Ninety patients undergoing hemorrhoidectomy between 2014 and 2017 were retrospectively evaluated. We investigated the duration of hospitalization and the presence of bleeding, incontinence, perianal wetness, urinary retention, stenosis, and recurrence during follow-up after surgery. Analgesic requirement was determined by Patient-Controlled Analgesia, as well as pain score by use of the Visual Analog Score and patient satisfaction by Short Form-36. We also assessed the relationship between pain and lateral thermal damage, the number of peripheral nerves, number of excised bundles, and the number of thrombosed vessels, as determined by histopathological examination. Results: No differences were found among the 3 methods in the duration of hospitalization, the presence of bleeding, fecal incontinence, perianal wetness, urinal retention, anal stenosis, recurrence rate, VAS, analgesic consumption, or results of the SF-36. There was no difference in the number of bundles, thrombosed vessels, or number of nerve fibers in a bundle, but the LigaSure Hemorrhoidectomy had more lateral thermal damage (p<0.001). While there was a difference between VAS of day 1 and 7 according to the hemorrhoid bundles, there was no difference in the other parameters. Conclusions: There was no difference among the 3 methods in terms of complications, postoperative pain, or patient satisfaction, and pain intensity was positively correlated with the number of excised bundles. © Med Sci Monit.
dc.identifier.citationKendirci, M., Şahiner, İ. T., Şahiner, Y., Güney, G. (2018). Comparison of effects of vessel-sealing devices and conventional hemorrhoidectomy on postoperative pain and quality of life. Medical Science Monitor, 24, 2173-2179.
dc.identifier.doi10.12659/MSM.909750
dc.identifier.endpage2179en_US
dc.identifier.issn1234-1010
dc.identifier.scopusqualityQ1
dc.identifier.startpage2173en_US
dc.identifier.urihttps://doi.org/10.12659/MSM.909750
dc.identifier.urihttps://hdl.handle.net/11491/1302
dc.identifier.volume24en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherInternational Scientific Information, Inc.
dc.relation.ispartofMedical Science Monitor
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectEquipment Safetyen_US
dc.subjectHemorrhoidectomyen_US
dc.subjectPostoperative Complicationsen_US
dc.subjectQuality of Lifeen_US
dc.titleComparison of effects of vessel-sealing devices and conventional hemorrhoidectomy on postoperative pain and quality of life
dc.typeArticle

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